Register an Angel

Apply for Senior Christmas

Nothing embodies the spirit of giving around the holidays more than FreeHelpCK’s Adopt a Senior program. For the 7th consecutive year, our organization will focus on this upcoming holiday season by accompanying and delivering a festive holiday dinner and gifts to seniors who are alone on Christmas Eve. 

Please complete all the information in the following form to nominate a senior or apply for yourself for our 2025 Adopt a Senior program.

BEFORE COMPLETING THE FORM BELOW, PLEASE MAKE SURE YOU MEET THE ELIGIBILITY CRITERIA FOR THIS PROGRAM.

  • You are over the age of 65
  • You live alone and have no family
  • You have limited mobility and are unable to get out
Senior's Address(Required)
Please Pick 3 Gifts You Would Like to Receive(Required)
**PLEASE PUT A SIZE IF IT'S AN ITEM OF CLOTHING OR FOOTWEAR**